Bryant, Leslie
Bryant, Leslie is an individual health care provider with primary practice located at 4716 Illinois Rd , Fort Wayne IN 46804-5122. She recently has only one registered license in Dental Providers / Dentist, which is considered as her primary health care specialty. Bryant, Leslie can be contacted via phone (260) 739-1906.Contact Information
Primary practice address
4716 Illinois Rd
Fort Wayne IN 46804-5122
Phone: (260) 739-1906
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 12012537A | Indiana |
Profile Details
| NPI number | 1760832273 |
|---|---|
| LBN Legal business name | Bryant, Leslie |
| Credentials | Doctor of Dental Surgery (DDS) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 15th, 2016 |
| Last updated | Jun 15th, 2016 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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